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Maori and Pacific Mental Health
Transcript of Maori and Pacific Mental Health
Models of Health
Eager et al. 2005
Implications and Applications
History of Maori Health
Post Colonisation to the present
Health is Holistic but as separate aspects joint together
Seen as a combination of spirituality and cognition/emotions
Maori views of health depended on
Belief in the power of mind
Vulnerability of a number of deities
Gives the spiritual basis for illness
Missionaries Whalers, Settlers
1840 Treaty of Waitangi
New Social and Economic systems
1860’s Land Wars
Allowed the settlers to assert themselves
Government became stronger
Health Politics led to
Forcing Maori to passive consumer roles
1960-70s Cultural factors play a role in health and well being
National Mental Health Consortium in 1989 showed that Maori groups have expressed skepticism in the contemporary methods of diagnosis and treatment
Parallel approach to health
See the benefits of both
The role of the tohunga
Understanding of Mental Health
Depression as an example
Te Whare Tapa Wha
Tapsell & Mellsop
Reviewed a number of studies interested in Maori Mental Health Issues
Two Key studies that they mentioned were:
Questioned the reliability of Western Measures for Maori Mental Health Patients
Looked at the relationship between Mental Health and Deprivation
Self Harm and Depression were under represented
Suicide and Aggression were over represented
Showed that deprivation cannot account for all the variation noted between ethnic groups
Improving quantity and quality
Accelerated workforce development
Autonomy and control
from the research we can see that the focus of research, practice and training have great leaps for improving the Mental Health of Maori and Pacific Peoples
Te Pae Mahutonga
Tick the Box!
Durie, M. (1995). Mental Health Patterns for New Zealand Maori. In I. Al-Issa (Ed.), Handbook of culture and mental illness: An international perspective (pp. 331-346). Madison, CT: Intl Universities Press.
Durie, M. (1999a). Mental Health and Maori Development. Australian and New Zealand Journal of Psychiatry, 33, 5-12.
Durie, M. (1999b). Te Pae Mahutonga: a model for Mäori health promotion. Health Promotion Forum of New Zealand Newsletter, 49, 2-5.
MA Oakley Browne, JE Wells, KM Scott (eds). 2006. Te Rau Hinengaro: The New Zealand Mental Health Survey. Wellington: Ministry of Health.
Pulotu-Endemann, F. K. (2001). Fonofale Model of Health. Wellington: Massey University.
Rochford, T. (2004). Whare Tapa Wha: A Maori model of a unified theory of health. Journal of Primary Prevention, 25(1), 41-57.
Tapsell, R., & Mellsop, G. (2007). The Contributions of Culture and Ethnicity to New Zealand Mental Health Research Findings. International Journal of Social Psychiatry, 53(4), 317-324. doi: 10.1177/0020764006074525
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